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| Analysis of Doctor-patient Relationship and Countermeasures from the Perspective of Evolutionary Game |
| LI Chaoran1, LIU Jusheng2,3, SONG Mei4, HAN Jingti2,3, YU Changrui2,3
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1. School of Economics and Management, Shanghai University of Sport, Shanghai 200438, China;
2. School of Information Management and Engineering, Shanghai University of Finance and Economics, Shanghai 200433, China;
3. Shanghai Financial Intelligent Engineering Technology Research Center, Shanghai 200433, China;
4. Faculty of Economics & Management, East China Normal University, Shanghai 200241, China |
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Abstract The disharmony and conflict of the physician-patient relationship are becoming a real dilemma that the medical industry and the whole society have to face, which seriously affects people′s sense of happiness and health. Starting from multiple dimensions such as information asymmetry, trust, moral hazard, and the rewards and punishments of arbitration institutions, this study used evolutionary game theory and replication dynamic equations to construct an evolutionary game model for the choice of cooperation strategy between physicians and patients and then explored the evolving situation of the physician-patient relationship. Finally, the study simulated the evolution path of physician-patient strategy by numerical simulation method and analyzed the results. The results showed that: the physician-patient relationship will eventually stabilize in two states of cooperation and conflict; trust level, degree of information asymmetry, moral hazard, and reward and punishment of arbitration institutions are important factors that can affect the evolution of cooperation path between doctors and patients. Increasing the trust level and the reward and punishment of arbitration institutions, reducing the degree of information asymmetry and the moral hazard for both doctors and patients will prompt the physicians and patients to shift from conflict to cooperation.
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Received: 19 July 2021
Published: 12 October 2022
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